There were horrific cases occurring among women going through a trial of labor. There's a lot of hard, irrefutable data on the increased risk. It would have been immoral to not have come out with the new recommendation.

There is very clear data that inducing labor at this point reduces the number of cesarean sections because of fetal distress.

Andy can never undo the damage that his actions have caused. However, he has paid the price - his academic career is ruined, his reputation sullied, and his personal shame unremitting.

I think a lot (of the increase) has come about because physicians don't want to be awakened in the middle of the night, so they schedule patients when it is convenient.